Because many children under 5 do not cough and produce sputum effectively, culture of gastric washings obtained by naso-gastric tube lavage or induced sputum have a higher yield than spontaneous sputum. Thus, these methods should be utilized to obtain sputum for both smear and culture examination. Click here for an approach to the diagnosis of TB in children recommended by the Integrated Management of Childhood Illness (IMCI) program of the WHO. |